The Biden administration announced its intention to extend the COVID-19 public health emergency (PHE) until May 11 and end it on that date. Read More »
A federal judge remanded remedy decisions to HHS for its underpayments related to the 340B drug pricing program. After experiencing several key wins throughout their long legal battle with HHS, the American Hospital Association and other industry plaintiffs were disappointed by the ruling.Read More »
NAHRI has extended the deadline to submit application to speak at the 2023 Revenue Integrity Symposium (RIS), to be held September 18‒19 in Charlotte, North Carolina. The deadline to submit applications is Sunday, January 29.Read More »
More payers and providers are using the independent dispute resolution (IDR) process than the government anticipated to settle payment for items and services covered by the No Surprises Act.Read More »
The American Medical Association (AMA) released four new Current Procedural Terminology (CPT®) codes for bivalent COVID-19 vaccines for young children.Read More »
The Office of Inspector General (OIG) recently released its annual report on solutions to reduce fraud, waste, and abuse in HHS programs. In the OIG’s 2022 report, 16 of the top 25 unimplemented recommendations involve CMS, with three relating to Medicare Parts A and B.Read More »
CMS released a proposed rule on December 6 to promote transparency, efficiency, and automation in prior authorization processes. Certain requirements in the proposed rule are also intended to improve data accessibility for patients, providers, and payers.Read More »
CMS extended enforcement discretion, pending future rulemaking, for providing good faith estimates (GFE) for uninsured or self-pay patients that include price estimates from co-providers or co-facilities. The agency announced the pause in a December 2 FAQ, citing technical limitations.Read More »
